Individual
GORDON DAVID KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP CS
Contact information
Practice address
208 E 7TH, HAYS, KS 67601
(785) 628-2871
(785) 628-0426
Mailing address
208 E 7TH, HAYS, KS 67601
(785) 628-2871
(785) 628-0426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13582171111
KS
363L00000X
Nurse Practitioner
Primary
74162
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249170B
—
KS
Enumeration date
01/30/2007
Last updated
09/27/2012
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